Idaho
Division of Occupational and Professional Licenses
LARRY GLEN HICKS
Board Of Medicine
License number
RTS-019
Date granted
06/25/2004
Date expires
06/17/2005
Class
Board Of Medicine
Status
Expired
Address
2437 COTTONWOOD CR RD CHEWELAH WA 99109
idaholicensing.com
ID 48343602
LAST UPDATED 2026-04-16 13:22:37 UTC
LAST UPDATED 2026-04-16 13:22:37 UTC
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